Rhode Island Multistate Pharmacy Jurisprudence (MPJE) Practice Exam

Before administering medication in a facility without an institutional pharmacy license, what must a prescriber do?

1. Conduct a drug utilization review and final check

2. Notify the patient of potential side effects

3. Log medication in a nursing record

4. Document the administration in the medical file

The correct answer is: Conduct a drug utilization review and final check

In a facility that does not have an institutional pharmacy license, it is crucial for the prescriber to conduct a drug utilization review and final check before administering medication. This process ensures that the medication is appropriate for the patient’s condition, that it has been ordered correctly, and that there are no potential drug interactions or contraindications. By performing a drug utilization review, the prescriber demonstrates a commitment to patient safety and quality care. This is particularly important in settings where there may not be a licensed pharmacist available to provide oversight and verify medication orders. The final check acts as a safeguard to prevent medication errors before administration, which is essential for protecting patients in any healthcare setting. The other potential actions listed, such as notifying patients of side effects, logging medication in a nursing record, or documenting in a medical file, are indeed important components of proper medication management. However, they do not substitute the critical necessity of a thorough drug utilization review in a setting lacking a pharmacy. This step is foundational in ensuring that the right medication reaches the right patient in a safe manner.